RESUMEN
OBJECTIVE: To validate interventions and nursing activities proposed by the Nursing Interventions Classification for patients with acute renal failure or acute chronic renal disease in hemodialysis therapy with the Excess Fluid Volume and Risk for Imbalanced Fluid Volume nursing diagnoses. METHODS: Validation of content with 19 expert nurses from a university hospital. The data collection was made from September to November 2011 through instruments that contained the interventions and nursing activities in study. The data analysis considered the average of scores obtained in the validation process. RESULTS: The Fluid Management was validated as a priority intervention (mean ≥ 0.8), with eight main activities for the Excess Fluid Volume nursing diagnosis and eight for the Risk for Imbalanced Fluid Volume nursing diagnosis. CONCLUSION: The validated intervation of the Fluid Management enables the monitoring of the hydric balance and facilitates the prevention of complications, which are important activities in the nursing care of the patients in hemodialysis therapy.
Asunto(s)
Diálisis Renal/enfermería , Lesión Renal Aguda/enfermería , Lesión Renal Aguda/terapia , Femenino , Unidades de Hemodiálisis en Hospital , Hospitales Universitarios , Humanos , Unidades de Cuidados Intensivos , Fallo Renal Crónico/enfermería , Fallo Renal Crónico/terapia , Masculino , Diagnóstico de Enfermería , Diálisis Renal/efectos adversos , Especialidades de Enfermería , Equilibrio Hidroelectrolítico , Desequilibrio Hidroelectrolítico/etiología , Desequilibrio Hidroelectrolítico/enfermería , Desequilibrio Hidroelectrolítico/prevención & controlRESUMEN
RESUMO Objetivo Validar intervenções e atividades de enfermagem propostas pela Nursing Interventions Classification, para pacientes com insuficiência renal aguda ou doença renal crônica agudizada, em terapia hemodialítica com os diagnósticos de enfermagem Volume de Líquidos Excessivo e Risco de Volume de Líquidos Desequilibrado. Métodos Validação de conteúdo com 19 enfermeiros peritos de um hospital universitário. A coleta de dados ocorreu de setembro a novembro de 2011, por meio de instrumentos que continham as intervenções e atividades de enfermagem em estudo. A análise considerou a média dos escores obtidos na validação. Resultados O Controle Hídrico foi validado como intervenção prioritária (média ≥ 0.8), com oito atividades principais para o diagnóstico Volume de Líquidos Excessivo e oito para o diagnóstico Risco de Volume de Líquidos Desequilibrado. Conclusão A intervenção validada de Controle Hídrico possibilita o monitoramento do equilíbrio hídrico e facilita a prevenção de complicações, consideradas importantes atividades do cuidado ao paciente em terapia hemodialítica.
RESUMEN Objectivo Validar intervenciones y actividades de enfermería propuestas por la Nursing Interventions Classification, para pacientes con insuficiencia renal aguda o enfermedad renal crónica agudizada, en terapia hemodialítica con los diagnósticos de enfermería Volumen de Líquidos Excesivo y Riesgo de Desequilibrio de Volumen de Líquidos. Métodos Validación de contenido con 19 enfermeros expertos de un hospital universitario. La recolección de datos fue realizada de septiembre a noviembre de 2011 con instrumentos que contenían las intervenciones y actividades de enfermería en estudio. El análisis consideró el promedio de los puntajes obtenidos en la validación. Resultados El Manejo de Líquidos fue validado como intervención prioritaria (media >0.8), con ocho actividades principales para el diagnóstico Volumen de Líquidos Excesivo y ocho para el diagnóstico Riesgo de Desequilibrio de Volumen de Líquidos. Conclusión La intervención validada de Manejo de Líquidos posibilita el monitoreo del balance hídrico y facilita la prevención de complicaciones, consideradas importantes actividades del cuidado al paciente en terapia hemodialítica.
ABSTRACT Objective To validate interventions and nursing activities proposed by the Nursing Interventions Classification for patients with acute renal failure or acute chronic renal disease in hemodialysis therapy with the Excess Fluid Volume and Risk for Imbalanced Fluid Volume nursing diagnoses. Methods Validation of content with 19 expert nurses from a university hospital. The data collection was made from September to November 2011 through instruments that contained the interventions and nursing activities in study. The data analysis considered the average of scores obtained in the validation process. Results The Fluid Management was validated as a priority intervention (mean ≥ 0.8), with eight main activities for the Excess Fluid Volume nursing diagnosis and eight for the Risk for Imbalanced Fluid Volume nursing diagnosis. Conclusion The validated intervation of the Fluid Management enables the monitoring of the hydric balance and facilitates the prevention of complications, which are important activities in the nursing care of the patients in hemodialysis therapy.
Asunto(s)
Humanos , Masculino , Femenino , Diálisis Renal/enfermería , Especialidades de Enfermería , Equilibrio Hidroelectrolítico , Desequilibrio Hidroelectrolítico/enfermería , Desequilibrio Hidroelectrolítico/etiología , Desequilibrio Hidroelectrolítico/prevención & control , Diagnóstico de Enfermería , Diálisis Renal/efectos adversos , Lesión Renal Aguda/enfermería , Lesión Renal Aguda/terapia , Unidades de Hemodiálisis en Hospital , Hospitales Universitarios , Unidades de Cuidados Intensivos , Fallo Renal Crónico/enfermería , Fallo Renal Crónico/terapiaRESUMEN
OBJECTIVE: The purpose of this study was to test the clinical applicability of the Nursing Outcomes Classification in patients with decompensated heart failure and the nursing diagnosis of fluid volume excess. METHODS: This is a longitudinal study conducted in two stages at a university hospital, in 2013. During the first stage the consensus of experts was used to select the nursing outcomes and the indicators related to diagnosing fluid volume excess. The longitudinal study was conducted in the second stage to clinically evaluate the patients using the instrument containing the results and indicators produced in the consensus. RESULTS: A total of 17 patients were assessed. The nursing outcomes were measured during the clinical evaluation by analysing their indicators. The scores increased in six of the results, in comparison with the average results of the first and last assessment. The Nursing Outcomes Classification during medical practice revealed a clinical improvement among the patient who were admitted following decompensated heart failure. CONCLUSION: The Nursing Outcomes Classification managed to detect changes in the clinical status of patients.
Asunto(s)
Insuficiencia Cardíaca/enfermería , Evaluación en Enfermería/métodos , Terminología Normalizada de Enfermería , Desequilibrio Hidroelectrolítico/enfermería , Anciano , Brasil , Consenso , Femenino , Corazón/fisiopatología , Insuficiencia Cardíaca/clasificación , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/fisiopatología , Hospitales Universitarios , Humanos , Riñón/fisiopatología , Masculino , Persona de Mediana Edad , Diagnóstico de Enfermería , Resultado del Tratamiento , Desequilibrio Hidroelectrolítico/clasificación , Desequilibrio Hidroelectrolítico/dietoterapia , Desequilibrio Hidroelectrolítico/etiologíaRESUMEN
RESUMO Objetivo Testar a aplicabilidade clínica da Nursing Outcomes Classification em pacientes com insuficiência cardíaca descompensada e Diagnóstico de Enfermagem Volume de Líquidos Excessivo. Métodos Estudo longitudinal conduzido em duas etapas em um hospital universitário no ano de 2013. Na primeira etapa, utilizou-se a validação por consenso de especialistas para selecionar os resultados de enfermagem e os indicadores relacionados ao diagnóstico de enfermagem; na segunda, foi realizado um estudo longitudinal para avaliação clínica dos pacientes, utilizando-se o instrumento contendo os resultados e indicadores produzidos no consenso. Resultados Foram realizadas avaliações em 17 pacientes. Na avaliação clínica, mensuraram-se os resultados de enfermagem através da avaliação de seus indicadores. Seis resultados apresentaram aumento nos escores, quando comparados às médias da primeira e da última avaliação. A utilização da Nursing Outcomes Classification na prática clínica demonstrou melhora dos pacientes internados por insuficiência cardíaca descompensada. Conclusão A Nursing Outcomes Classification foi sensível às alterações no quadro clínico dos pacientes.
RESUMEN Objetivo Testar la aplicabilidad clínica de la Nursing Outcomes Classification en pacientes con insuficiencia cardíaca descompensada y Diagnóstico de Enfermería Volumen de Líquidos Excesivo. Método Estudio longitudinal, realizado en dos etapas, en un hospital universitario, en 2013. En la primera etapa se utilizó la validación por consenso de especialistas para seleccionar los resultados de enfermería y los indicadores relaciones al diagnóstico de enfermería; en la segunda fue realizado un estudio longitudinal para evaluación clínica de los pacientes, utilizándose el instrumento que contiene los resultados y los indicadores producto del consenso. Resultados Fueron realizadas evaluaciones en 17 pacientes. Durante la evaluación clínica se midieron los resultados de enfermería a través de la evaluación de sus indicadores. Seis resultados mostraron un aumento en las puntuaciones, cuando se comparó las medias de los resultados de la primera y última evaluación. La utilización de la Nursing Outcomes Classification en la práctica clínica fue capaz de demostrar mejoría clínica de los pacientes internados por insuficiencia cardíaca descompensada. Conclusión La Clasificación de Resultados de Enfermería fue sensible a las alteraciones en el cuadro clínicos de los pacientes.
ABSTRACT Objective The purpose of this study was to test the clinical applicability of the Nursing Outcomes Classification in patients with decompensated heart failure and the nursing diagnosis of fluid volume excess. Methods This is a longitudinal study conducted in two stages at a university hospital, in 2013. During the first stage the consensus of experts was used to select the nursing outcomes and the indicators related to diagnosing fluid volume excess. The longitudinal study was conducted in the second stage to clinically evaluate the patients using the instrument containing the results and indicators produced in the consensus. Results A total of 17 patients were assessed. The nursing outcomes were measured during the clinical evaluation by analysing their indicators. The scores increased in six of the results, in comparison with the average results of the first and last assessment. The Nursing Outcomes Classification during medical practice revealed a clinical improvement among the patient who were admitted following decompensated heart failure. Conclusion The Nursing Outcomes Classification managed to detect changes in the clinical status of patients.
Asunto(s)
Humanos , Masculino , Femenino , Anciano , Desequilibrio Hidroelectrolítico/enfermería , Terminología Normalizada de Enfermería , Insuficiencia Cardíaca/enfermería , Evaluación en Enfermería/métodos , Desequilibrio Hidroelectrolítico/clasificación , Desequilibrio Hidroelectrolítico/dietoterapia , Desequilibrio Hidroelectrolítico/etiología , Diagnóstico de Enfermería , Brasil , Resultado del Tratamiento , Consenso , Corazón/fisiopatología , Insuficiencia Cardíaca/clasificación , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/fisiopatología , Hospitales Universitarios , Riñón/fisiopatología , Persona de Mediana EdadRESUMEN
This case study aims at presenting the follow-up of a patient who underwent allogeneic bone marrow transplantation and the experience of the nursing team of the Centro de Transplante de Medula Ossea (Bone Marrow Transplantation Center) at the Hospital de Clínicas de Porto Alegre, Brazil, during the development of the systematization of the nurse practice emphasizing the period of elaboration of the nursing diagnosis. Twenty-six diagnosis established in this case are discussed and put together in the format of a table to allow the reader to have a view of their initial and ending periods, during the in-patient treatment time.
Asunto(s)
Trasplante de Médula Ósea/enfermería , Leucemia-Linfoma de Células T del Adulto/enfermería , Diagnóstico de Enfermería , Complicaciones Posoperatorias/enfermería , Trasplante Homólogo/enfermería , Adulto , Ansiedad/diagnóstico , Ansiedad/enfermería , Trasplante de Médula Ósea/psicología , Estudios de Seguimiento , Humanos , Leucemia-Linfoma de Células T del Adulto/complicaciones , Leucemia-Linfoma de Células T del Adulto/cirugía , Masculino , Trastornos Nutricionales/diagnóstico , Trastornos Nutricionales/enfermería , Complicaciones Posoperatorias/diagnóstico , Trastornos del Sueño-Vigilia/diagnóstico , Trastornos del Sueño-Vigilia/enfermería , Estomatitis/diagnóstico , Estomatitis/enfermería , Acondicionamiento Pretrasplante/efectos adversos , Acondicionamiento Pretrasplante/enfermería , Trasplante Homólogo/psicología , Desequilibrio Hidroelectrolítico/diagnóstico , Desequilibrio Hidroelectrolítico/enfermeríaRESUMEN
The objective of this research is to identify which nursing activities contained in the fluid management intervention proposed by the Nursing Intervention Classification (NIC) are realized and considered important by nurses, to attend patients who received fluid volume excess as a nursing diagnosis, as proposed by the North American Nursing Diagnoses Association (NANDA). Data were collected in three hospitals. The sample included 77 nurses, who chose the best alternative on a Likert scale, to indicate the realization of which of those actives they considered important and which activities are realized in their daily care practice. It was concluded that most of the nursing activities were always considered important and were always performed by the nurses. These activities were classified as independent and dependent.
Asunto(s)
Desequilibrio Hidroelectrolítico/enfermería , Fluidoterapia , Humanos , Diagnóstico de Enfermería , Desequilibrio Hidroelectrolítico/diagnósticoRESUMEN
This study aimed at verifying the defining characteristics of the nursing diagnosis "Fluid Volume Excess" proposed by NANDA. Data collection was carried out within a specialized Cardiology health care setting where the 29 patients were selected by two expert nurses. The conclusion showed consonance of opinions between the two professionals in regard to the identification of nine patients with diagnosis and 20 without this type of diagnosis. The identified defining characteristics appeared in different percentages considering the studied patients.
Asunto(s)
Diagnóstico de Enfermería/normas , Desequilibrio Hidroelectrolítico/enfermería , Estudios de Casos y Controles , Humanos , Investigación en Evaluación de Enfermería , Desequilibrio Hidroelectrolítico/diagnósticoRESUMEN
The present study aimed at describing the profile of defining characteristics in patients with the nursing diagnosis "Fluid volume deficit" related to active loss of fluid secondary to burns. Data were collected by means of a tool, containing 29 possible defining characteristics of this diagnosis. Seven nurses, that worked at the Burnt Unit for at least five years ago, provided opinions about the degree to which each defining characteristic is indicative of this diagnosis. Nurses rated each defining characteristic of diagnosis being tested on a scale of zero to one. The results confirmed all, except one (increased body temperature) defining characteristics presented by NANDA for this diagnosis and indicated 10 new defining characteristics.